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General NPI Number Information
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NPI Number | 1427917483
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Entity Type | Individual
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Provider Name | LISA CRUMLEY
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 1400 E WHITESTONE BLVD STE 400 400
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City | CEDAR PARK
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State | TX
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Zip | 78613-9088
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Country | US
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Telephone | 512-640-5200
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Fax | 512-772-2824
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Provider Business Mailing Address
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Address Line | 511 SUSANA DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-8817
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Country | US
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Telephone | 512-944-0271
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 937303
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License Number State | TX
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